Brooke Gubrud, MOT/OTR L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

1103 Issued in ND

Practice address

1911 N 11TH St
Bismarck, ND 58501-1915

Phone

(701) 258-1569

Fax

(701) 223-1669

NPI assigned

Aug 16, 2011

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• JMB Services Inc

  dba Gramma's Garden

  • Developmental Disabilities Clinic/Center
  • Bismarck, ND
  • NPI 1205293537
  NPD (past)
• The Enrichment Garden

  • Hearing and Speech Clinic/Center
  • Bismarck, ND
  • NPI 1730212325
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1313452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1313452800000",
    "number": "1144509555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2536",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585022536",
            "telephone_number": "701-258-1569",
            "fax_number": "701-223-1669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1911 N 11TH ST",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585011915",
            "telephone_number": "701-258-1569",
            "fax_number": "701-223-1669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUBRUD",
        "first_name": "BROOKE",
        "credential": "MOT/OTR L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-16",
        "last_updated": "2011-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "ND",
            "license": "1103",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Raymond Gruby, M.D.
• Rachel M Gruenberg, FNP-C
• Isabel Jain Grueneich, MS, LAPC
• Susan Grundysen
• Ricardo Guanzon, MD
• Sierra Guches
• Antonia Ann Gumeringer
• Fiona Gunderson
• Paul Guptill, DC
• Hannah Gushwa, PT, DPT

• Occupational Therapist in Bismarck, ND
• Providers in Bismarck, ND by specialty
• Occupational Therapist in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.